In the present economic context, the operating theater is considered as a critical activity in health care management. This paper describes a model for operating room (OR) planning under constraint of a unique equipment. At first level we schedule elective surgeries under the uncertainty of using a unique equipment. At the second level we consider emergency surgeries, and at the third le...

A 43-year-old female presented at the accident and emergency department of Princess Marina Hospital, Gaborone, Botswana. She reported a deep dull aching pain of two years duration in the right iliac fossa that has been progressively becoming worse. Ultrasound revealed a large sausage like cystic mass extending from the pelvis up to the medial aspect of the ascending colon. CT scan showed a larg...

BACKGROUND The American Board of Internal Medicine Certification Examination (ABIM-CE) is one of several methods used to assess medical knowledge, an Accreditation Council for Graduate Medical Education (ACGME) core competency for graduating internal medicine residents. With recent changes in graduate medical education program directors and internal medicine residents are seeking evidence to gu...

BACKGROUND In 2004, the National Institute for Clinical Excellence (NICE) recommended that an elective caesarean section for an uncomplicated pregnancy should not be carried out before 39 completed weeks due to increased risk of respiratory morbidity in newborns. We describe the trends and variation across 63 English NHS trusts in the timing of elective caesarean section (CS) for low-risk singl...

abstract earthworms are an important component of soil fauna, and play a crucial role in the improvement of soil properties. however, very little is known of the interactive influence of earthworms and organic materials on soil enzyme activities, particularly in arid and semi-arid soils. the low organic matter content and the significant role of earthworms in stimulating microbiological and bio...

abstract erosion and sedimentation are the most complicated problems in hydrodynamic which are very important in water-related projects of arid and semi-arid basins. for this reason, the presence of suitable methods for good estimation of suspended sediment load of rivers is very valuable. solving hydrodynamic equations related to these phenomenons and access to a mathematical-conceptual model ...

depth of frost penetration is one of the main indices in agriculture, civil and transportation engineering. soil temperature is a function of several factors including: topography, solar radiation, air temperature, moisture content and other physical properties of soil such as thermal capacity, coefficient of heat conductivity, and specific heat. the main objective of the present paper is to de...

Objectives-To introduce laparoscopic ovariohysterectomy in dog in Iran,Study Design-Elective experimental study design.Animals-Four mix-breed healthy female dogs.Methods-Four healthy female dogs were undergone elective laparoscopic ovaryohysterectomy. Clinicalparameters including: body temperature, heart rate , respiratory rate, appetite, surgical time, blood loss,surgical complications, CBC an...